Chapter 25. Bobby Napier: A 68-Year-Old Caucasian Appalachian Man with Type 2 Diabetes
- Lisa Hark PhD, RD Consultant4 and
- Horace DeLisser MD Associate Professor Assistant Dean5
Published Online: 27 APR 2009
Copyright © 2009 Blackwell Publishing Ltd
Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals
How to Cite
Lee-Rey, E., Crandall, S. and Arcury, T. A. (2009) Bobby Napier: A 68-Year-Old Caucasian Appalachian Man with Type 2 Diabetes, in Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals (eds L. Hark and H. DeLisser), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444311686.ch25
Department of Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA
Cultural Competency and Spirituality, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
- Published Online: 27 APR 2009
- Published Print: 10 APR 2009
Print ISBN: 9781405180726
Online ISBN: 9781444311686
- Caucasian Appalachian man with type 2 diabetes;
- similarities in health care experiences of patients from rural communities and inner-city settings;
- taking medications, monitoring glucose, quit smoking, change in diet;
- pervasive lack of knowledge and high costs - hampering preventive health behaviors;
- urban vs. rural health care challenges;
- health care policy - focus on heightening awareness care, self-management of diabetes;
- treatment options, and education programs
This chapter contains sections titled:
How might the attitude that Dr. Cox expressed to Mr. Napier affect his care?
What are some of the factors that need to be considered when prescribing treatment for patients who are poor?
What would be an appropriate response from the attending to Dr. Cox's statements about Mr. Napier?
What additional information would have been helpful to Dr. Cox in developing a treatment plan?
How might the social information obtained above be used to promote adherence to his diabetes treatments?
What are some of the things that could be done to increase the likelihood that Mr. Napier's diabetes will be controlled in the future?
What role, if any, could the minister and elders play in Mr. Napier's care?
What resources may be available to rural communities to help patients control their diabetes and overcome many of the barriers that exist?